| NPI | 1336349786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: NY 271321) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57-013045) |
| 207W00000X Ophthalmology (Licence: NY 271321) | |
| 207W00000X Ophthalmology (Licence: CA A107663) | |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2017-03-08 |