NPI | 1932630902 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: HI OD-838) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA ANTICIPATED 06/2017) |
Enumeration Date | 2017-03-22 |
Last Update Date | 2019-01-03 |