| NPI | 1760005201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 009151) |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-08-18 |