NPI | 1144924804 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: OR ATI4672) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2023-03-28 |
Last Update Date | 2023-06-14 |