| NPI | 1497194666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2020-03992) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 256795) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2023-08-02 |