| NPI | 1831622919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301509008) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 288635) |
| 207W00000X Ophthalmology (Licence: ME MD26735) | |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2023-08-07 |