| NPI | 1174056246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD61421435) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A172219) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2024-01-25 |