NPI | 1578208328 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NH 1086) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CT 3250) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-05-04 |
Last Update Date | 2024-07-25 |