| NPI | 1114676814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: CO DR.0077200) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CO DR.0077200) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA A189548) | |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2026-05-12 |