| NPI | 1063625374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: CA C139587) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 2007-00533) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-10-26 |