| NPI | 1861643637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OR MD169758) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL2968) |
| 207W00000X Ophthalmology (Licence: IA 40088) | |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2014-09-23 |