| NPI | 1710204870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AZ 51416) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD MD451928) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT196789) | |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2023-06-15 |