| NPI | 1396268587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA NA) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 12519) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2024-02-29 |