NPI | 1427610443 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34327) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
152W00000X Optometrist (Licence: NY 009028) | |
Enumeration Date | 2019-06-29 |
Last Update Date | 2020-08-17 |