| NPI | 1649845389 |
|---|---|
| Former Name | SHAINA ANN JOSEPH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901005915) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 10334T) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2026-02-12 |