| NPI | 1871171884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX V6695) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 33903) |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2025-03-19 |