| NPI | 1740642891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NM MD2021-0254) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME145600) |
| 207W00000X Ophthalmology (Licence: OH 35.140734) | |
| 208D00000X General Practice (Licence: OH 35.140734) | |
| 208D00000X General Practice (Licence: FL ME145600) | |
| Enumeration Date | 2016-03-27 |
| Last Update Date | 2024-05-13 |