NPI | 1275222622 |
---|---|
Former Name | MELANIE ROSE OORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OH OPT.007173) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2023-05-02 |
Last Update Date | 2024-01-19 |