| NPI | 1972940195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA 1972940195) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT203969) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2020-11-30 |