| NPI | 1366923542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA 343426) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA LT000365) |
| 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: LA 343426) | |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2024-08-29 |