| NPI | 1639326044 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: FL ME105446) | 
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME105446) | 
| 207W00000X Ophthalmology (Licence: FL ME105446) | |
| Enumeration Date | 2008-08-27 | 
| Last Update Date | 2025-08-29 |