| NPI | 1255006482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: FL ME163908) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: ZZ 7134490) |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2024-12-04 |