| NPI | 1215279104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: SD 11346) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME131050) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: SD 11346) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: FL ME131050) | |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2019-09-13 |