| NPI | 1497808307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 56047) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: ND 12470) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-07-10 |