| NPI | 1982929048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KY R2522) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: ID MR-1138) | |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2014-07-16 |