| NPI | 1821265141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC MMD.36338TL) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 141777) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2014-04-17 |