NPI | 1104513258 |
---|---|
Former Name | DARIAN MINICA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2799) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2023-04-19 |
Last Update Date | 2024-09-17 |