| NPI | 1598419889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2723) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618003198) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2023-03-15 |