| NPI | 1588198089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: FL ME155392) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2021014728) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2022-07-12 |