| NPI | 1023637733 |
|---|---|
| Former Name | DANIELLE RAE KOLSCHEFSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ID ODP-100539) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: CA 34593) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2022-06-07 |