| NPI | 1700413135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 98476) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: IL 125076642) | |
| 207W00000X Ophthalmology (Licence: IL 125076642) | |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2024-06-05 |