| NPI | 1942593702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A150117) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 271878-1) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2020-06-25 |