| NPI | 1528262706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OR MD27653) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME92904) |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: OR MD27653) | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2017-04-07 |