| NPI | 1902125537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA a156375) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME120077) |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2022-06-08 |