| NPI | 1699096792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0077810) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: DC MD042449) |
| 207W00000X Ophthalmology (Licence: FL ME120182) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: MD D0077810) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: DC MD042449) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: FL ME120182) | |
| Enumeration Date | 2010-06-13 |
| Last Update Date | 2019-10-21 |