| NPI | 1811734262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME171060) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA LT000944) |
| 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: PA LT000944) | |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: PA LT000944) | |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2024-12-20 |