| NPI | 1982961405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: OR MD192040) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: WA MD60927844) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207W00000X Ophthalmology (Licence: OR MD192040) | |
| 207W00000X Ophthalmology (Licence: WA MD60927844) | |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2021-04-02 |