NPI | 1023321056 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2221) |
Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002339) |
Enumeration Date | 2010-07-19 |
Last Update Date | 2017-11-14 |