NPI | 1669850335 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: TX T2116) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A161157) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-05-13 |
Last Update Date | 2021-07-02 |