| NPI | 1164740460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A129618) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 174400000X Specialist (Licence: CA A129618) | |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2016-01-20 |