| NPI | 1952927584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A195467) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OK 37989) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: 0000) | |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2024-05-17 |