NPI | 1023236882 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002544A) |
Additional Taxonomies | 152W00000X Optometrist (Licence: SC 1446) |
152W00000X Optometrist (Licence: WI 2408) | |
Enumeration Date | 2007-04-24 |
Last Update Date | 2019-05-01 |