NPI | 1225654932 |
---|---|
Former Name | CAITLIN PAIGE DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2616) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NC Pending) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-06-18 |
Last Update Date | 2025-04-01 |