| NPI | 1497045637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KY 47885) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM RS2014-0127) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT202995) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: KY 47885) | |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2015-07-27 |