| NPI | 1063641421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: FL ME128906) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME128906) |
| 207W00000X Ophthalmology (Licence: MI 4301093998) | |
| 207W00000X Ophthalmology (Licence: LA MD206781) | |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2017-12-01 |