NPI | 1447828553 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046011516) |
Enumeration Date | 2021-06-15 |
Last Update Date | 2021-07-01 |