| NPI | 1255957247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301510977) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 43510045943) |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2024-07-10 |