| NPI | 1346604998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME150669) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 282735) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2021-08-18 |