| NPI | 1356738942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: DC MD046965) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: MD D0087616) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: VA 0101266674) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207W00000X Ophthalmology (Licence: VA 0101266674) | |
| 207W00000X Ophthalmology (Licence: DC MD046965) | |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2020-01-08 |