| NPI | 1346450376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD60981640) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2010015926) |
| 207W00000X Ophthalmology (Licence: MO 2007012432) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10025263) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2019-10-30 |