| NPI | 1730198714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO 2020032290) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME133380) |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: FL ME133380) | |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: MO 2020032290) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2022-09-02 |