NPI | 1316232556 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NE 29454) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207W00000X Ophthalmology (Licence: MN 55378) | |
207W00000X Ophthalmology (Licence: IA MD-42739) | |
Enumeration Date | 2011-06-16 |
Last Update Date | 2016-08-22 |