NPI | 1922594647 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34411) |
Additional Taxonomies | 152W00000X Optometrist (Licence: OH 006630) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-07-05 |
Last Update Date | 2024-07-19 |