| NPI | 1457612145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OR MD 178254) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207W00000X Ophthalmology (Licence: WA MD.60675907) | |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2021-12-17 |