| NPI | 1104438324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 83754-20) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: LA 322663) |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2024-06-25 |