NPI | 1619363819 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: NC 2021-00343) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 210341) |
Enumeration Date | 2015-04-14 |
Last Update Date | 2024-02-23 |