| NPI | 1447913157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4351055253) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351055253) |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2025-06-10 |