| NPI | 1265187678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: FL ME169494) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: FL 34316) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: FL TRN34316) | |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2024-07-12 |