| NPI | 1336612548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35.146205) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY FL059) |
| 207W00000X Ophthalmology (Licence: NY 312208) | |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: KY FL059) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2023-02-13 |