| NPI | 1093009839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0079322) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT199281) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10043955) | |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2016-07-08 |