| NPI | 1457814436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME169589) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35.147870) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT Student) | |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2024-08-08 |