| NPI | 1518351238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 85372) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 57.028097) |
| 207W00000X Ophthalmology (Licence: OH 35.146574) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2023-06-13 |