| NPI | 1932514585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL 135906) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 33130) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2018-05-15 |