| NPI | 1528417326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO DR.0064335) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 270991) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 270991) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM RS2019-1052) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2023-04-07 |