| NPI | 1487409801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101290235) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX 48257) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2026-09-11 |