| NPI | 1578889218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD60883450) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD165857) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2019-03-07 |