| NPI | 1700310281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101273886) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D0094562) |
| 207W00000X Ophthalmology (Licence: DC MD210002055) | |
| 207W00000X Ophthalmology (Licence: CT 69190) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2025-10-06 |