| NPI | 1669855441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME145693) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 007694) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2020-07-22 |