| 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 |