| NPI | 1467010579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN 68067) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PR 34710) |
| 208D00000X General Practice (Licence: PR 15275-I) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2024-07-02 |