| NPI | 1841644739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA MA287521) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125069206) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207W00000X Ophthalmology (Licence: FL ME144839) | |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2021-06-28 |