| NPI | 1902010861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: FL ME0102239) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME0102239) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2022-10-07 |