| NPI | 1265216659 |
|---|---|
| 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: MN 33244) |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2024-05-10 |