NPI | 1396371399 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME173965) |
Additional Taxonomies | 208600000X Surgery (Licence: FL TRN30152) |
208D00000X General Practice (Licence: GA 90032) | |
208D00000X General Practice (Licence: VA 0101273242) | |
Enumeration Date | 2020-03-21 |
Last Update Date | 2025-07-25 |