| NPI | 1316265259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: RI 14710) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR 161664) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-05-16 |
| Last Update Date | 2023-09-13 |