| NPI | 1386062263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 293462) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 000000000) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2024-10-04 |