| NPI | 1881057222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A150460) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA #BLANK) |
| Enumeration Date | 2016-04-02 |
| Last Update Date | 2023-09-26 |