| NPI | 1477830511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO 2021015991) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036.142384) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT205315) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125065402) | |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2021-08-30 |