NPI | 1518213420 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV-007838) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY TUV-007838-1) |
Enumeration Date | 2012-07-29 |
Last Update Date | 2022-10-05 |