| NPI | 1801120159 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME116757) | 
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: FL ME116757) | 
| Enumeration Date | 2009-09-18 | 
| Last Update Date | 2025-09-25 |