| NPI | 1710923768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: FL ME148226) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME148226) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2022-08-29 |