| NPI | 1275997967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OR MD195296) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NM RS2019-0883) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2021-12-25 |