| NPI | 1710780101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: MO 2025016972) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036.1733689) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-08-12 |