| NPI | 1902239528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: CA A169548) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A169548) |
| 207W00000X Ophthalmology (Licence: FL ME131086) | |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: FL ME131086) | |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2023-08-16 |