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 |