| NPI | 1952864175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA 323653) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME161177) |
| Enumeration Date | 2019-04-14 |
| Last Update Date | 2024-12-03 |