| NPI | 1821478355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: NM MD2020-0376) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX S1807) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ R75038) | |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2020-09-16 |