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 |