NPI | 1063728277 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618002793) |
Additional Taxonomies | 156F00000X Technician/Technologist |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-08-25 |
Last Update Date | 2023-05-16 |