NPI | 1548825193 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-E39-TA-B70) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AL SE39TAB70) |
Enumeration Date | 2019-05-08 |
Last Update Date | 2024-05-31 |