| NPI | 1376037515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME154892) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: SD 13902) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2023-06-22 |