| NPI | 1740454859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: FL ME104901) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME104901) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2026-01-20 |