| NPI | 1104438324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: VA 0101285336) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: LA 322663) |
| 207W00000X Ophthalmology (Licence: WI 83754-20) | |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2025-10-03 |