| NPI | 1154680932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: CT 60313) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A131444) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2018-07-12 |