NPI | 1396187803 |
---|---|
Former Name | MICHELLE D'AMURA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NY 007977) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 007977) |
Enumeration Date | 2013-07-25 |
Last Update Date | 2014-09-23 |