NPI | 1396311312 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-E71) |
Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC5921) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-06-01 |
Last Update Date | 2022-07-21 |