| NPI | 1659371441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: FL ME76125) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME0076125) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2020-05-18 |