| NPI | 1346629250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036.156083) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 297166) |
| 207W00000X Ophthalmology (Licence: IL 125.066866) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2021-03-29 |