| NPI | 1205097920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 069161) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0101250056) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2022-01-13 |