| NPI | 1578558771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: FL ME150114) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME150114) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: PA MD474733) | |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2023-04-19 |