NPI | 1023851268 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: PA 004290) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TX 11088) |
Enumeration Date | 2024-06-17 |
Last Update Date | 2025-09-19 |