NPI | 1740881515 |
---|---|
Former Name | JESSICA ARNOLDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 9955T) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-11-06 |
Last Update Date | 2022-04-18 |