NPI | 1043744196 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 74021) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: LA 309767) |
207W00000X Ophthalmology (Licence: NV 21158) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-04-16 |
Last Update Date | 2023-07-25 |