| NPI | 1043449184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD60464466) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036.132304) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2016-02-29 |