| NPI | 1679991053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX R9737) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036.145557) |
| 207W00000X Ophthalmology (Licence: IL 125065018) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2021-11-22 |