| NPI | 1821227331 |
|---|---|
| Former Name | JESSICA JANE GREGUSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME120430) |
| Additional Taxonomies | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: FL ME120430) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2023-12-07 |