| NPI | 1205276466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 2016-00584) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2018-05-30 |