| NPI | 1477054997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A207271) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 171000000X Military Health Care Provider | |
| 207W00000X Ophthalmology (Licence: VA 0101267504) | |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2026-03-16 |