| NPI | 1770676017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: VA 0101244388) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME131684) |
| 207W00000X Ophthalmology (Licence: NC 2008-00403) | |
| 207W00000X Ophthalmology (Licence: MD D68856) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: FL ME131684) | |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2021-06-14 |