| NPI | 1194200121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 125.080109) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125.080109) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2023-06-20 |