NPI | 1033132915 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: DE I30001191) |
Additional Taxonomies | 152W00000X Optometrist (Licence: DE RXOPT1002) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2010-02-02 |