| NPI | 1851895999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME167266) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD477662) |
| 207WX0107X Ophthalmology Retina Specialist (Licence: FL ME167266) | |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2024-06-24 |