| NPI | 1760800254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME141418) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 274189) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2020-06-01 |