NPI | 1013171743 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003549) |
Additional Taxonomies | 152W00000X Optometrist (Licence: OH 5808) |
Enumeration Date | 2008-07-11 |
Last Update Date | 2011-06-28 |