| NPI | 1073951240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX T9701) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WA OP60496217) |
| 208D00000X General Practice (Licence: WA OP60496217) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2022-11-04 |