| NPI | 1477180743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 125075518) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 125.075518) |
| 207W00000X Ophthalmology (Licence: CA 209675) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2026-06-10 |