| NPI | 1588826168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D79306) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT193100) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207W00000X Ophthalmology (Licence: NY 257294) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2015-07-01 |