| NPI | 1962881698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME140126) |
| Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: AZ 60122) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2020-06-23 |