| NPI | 1558896795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX T6654) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CO TL.0007749) |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: TX T6654) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2022-04-26 |