NPI | 1154765485 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME135330) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: SC 40815) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10046737) | |
Enumeration Date | 2013-04-17 |
Last Update Date | 2018-10-12 |