| NPI | 1740665173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CT 76803) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME144945) |
| 207W00000X Ophthalmology (Licence: NY 291880) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2024-10-08 |