| NPI | 1417244831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A143148) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 201501277) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT200176) | |
| 207W00000X Ophthalmology (Licence: VA 0101259022) | |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2022-03-29 |