| NPI | 1720722606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO 2023012486) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2022022461) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2023-07-27 |