| NPI | 1023698123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME170515) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: NY 335782) | |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2026-08-18 |