| NPI | 1578946315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2019-00443) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL38253) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 215987) | |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2022-10-04 |