| NPI | 1366974941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CT 069765) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME149391) |
| Enumeration Date | 2017-04-01 |
| Last Update Date | 2023-02-09 |