| NPI | 1104493428 |
|---|---|
| Former Name | CARYN GRIFFIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 35315) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA 5497) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-06-06 |
| Last Update Date | 2024-01-29 |