| NPI | 1437598026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PR 21136) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0101262324) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2019-10-22 |