| NPI | 1518252469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD60917881) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301100341) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2022-02-01 |