| NPI | 1124331376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA 326091) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 72165) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2021-05-18 |