| NPI | 1528419306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KY R4292) |
| Additional Taxonomies | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: KY 53811) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11018902) | |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2022-03-26 |