NPI | 1740642891 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NM MD2021-0254) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME145600) |
207W00000X Ophthalmology (Licence: OH 35.140734) | |
208D00000X General Practice (Licence: OH 35.140734) | |
208D00000X General Practice (Licence: FL ME145600) | |
Enumeration Date | 2016-03-27 |
Last Update Date | 2024-08-22 |