| NPI | 1730792185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NV 838022) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 838022) |
| 363LF0000X Nurse Practitioner Family (Licence: PA SP022370) | |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2024-01-03 |