| NPI | 1245650860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 279073) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA 154995) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2021-12-23 |