| NPI | 1487039814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KY 52907) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY R3743) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: KY R3743) | |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2021-03-02 |