| NPI | 1487802757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: OH 35.123719) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME112218) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2023-07-17 |