| NPI | 1386089829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NH 19360) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT203784) |
| 207W00000X Ophthalmology (Licence: PA MT203784) | |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: PA MD460802) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT203784) | |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2023-09-07 |