| NPI | 1710374814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME148682) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A149172) |
| 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: FL ME148682) | |
| 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: CA A149172) | |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2021-07-14 |