| NPI | 1164090494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO 2022024851) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207W00000X Ophthalmology (Licence: MO 2021022329) | |
| 207R00000X Internal Medicine (Licence: MO 2021022329) | |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2022-06-29 |