| NPI | 1023275997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D75406) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 250744) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2022-03-09 |