| NPI | 1629428701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: MA 282304) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 282304) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2022-09-21 |