NPI | 1013498278 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 046.011232) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046.011232) |
Enumeration Date | 2018-08-27 |
Last Update Date | 2019-03-27 |