| NPI | 1093181307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN 63037) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35.144355) |
| 208D00000X General Practice (Licence: PR 33884) | |
| 208D00000X General Practice (Licence: PR 34866) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2022-04-01 |