| 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 |