| NPI | 1578021267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME151543) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0116032410) |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2021-07-20 |