| NPI | 1295495166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: FL ME165104) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA LT000877) |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2025-01-08 |