NPI | 1184355836 |
---|---|
Former Name | ALEXANDRA M GORALSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: RI ODTG-00737) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2022-06-23 |
Last Update Date | 2023-04-19 |