| NPI | 1861844524 |
|---|---|
| Former Name | CELINA ANN DIEGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC 5311) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2021-01-06 |