| NPI | 1528632866 |
|---|---|
| Former Name | MADELINE EURIT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18004286B) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2021-10-18 |