| NPI | 1619175247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO 2009013439) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2009017274) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2005016370) | |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-08-05 |