| NPI | 1689964488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101261565) |
| Additional Taxonomies | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: VA 0101261565) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT198781) | |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2022-07-21 |