NPI | 1891318705 |
---|---|
Former Name | MAGDALENA CACHU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34571) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-05-26 |
Last Update Date | 2023-05-17 |