| NPI | 1912212788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 64088) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207W00000X Ophthalmology (Licence: TN 49724) | |
| 207W00000X Ophthalmology (Licence: AR E8002) | |
| 207W00000X Ophthalmology (Licence: NY 263858) | |
| 207W00000X Ophthalmology (Licence: MS 22551) | |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2015-07-13 |