| NPI | 1851975718 |
|---|---|
| Former Name | AVERY JACQUELINE HUBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 10223TG) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2022-08-25 |