| NPI | 1841463098 |
|---|---|
| Former Name | JORDANA FIRESTONE GOREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: VA 0101256076) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: DC MD042859) |
| 207W00000X Ophthalmology (Licence: VA 0101256076) | |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2022-07-21 |