NPI | 1316437304 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: CT 3112) |
Additional Taxonomies | 152W00000X Optometrist (Licence: SC 2057) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-05-15 |
Last Update Date | 2021-04-16 |