| NPI | 1053802454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME163116) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 275696) |
| 207W00000X Ophthalmology (Licence: NY 960492) | |
| 207W00000X Ophthalmology (Licence: TX T6053) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2024-06-19 |