| NPI | 1811734262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2026-04229) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME171060) |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2026-09-01 |