| NPI | 1760131072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 125.079375) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.079375) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125.079375) | |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2023-05-25 |