| NPI | 1992293757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD476784) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 239366) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: 239366) | |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2022-07-21 |