| NPI | 1770840365 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: TN 54082)  | 
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX R4518)  | 
| 207W00000X Ophthalmology (Licence: MS 24382)  | |
| 207W00000X Ophthalmology (Licence: AR E9764)  | |
| 207W00000X Ophthalmology (Licence: TN 54082)  | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: AR E9764)  | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: MS 24382)  | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: NH 19236)  | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10047004)  | |
| Enumeration Date | 2012-04-19 | 
| Last Update Date | 2020-05-11 |