| NPI | 1578558771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: NM MD2025-1061) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME150114) |
| 208D00000X General Practice (Licence: NM MD2025-1061) | |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2025-12-18 |