| NPI | 1871593764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME140321) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 044609) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2024-08-05 |