NPI | 1033398029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA2082) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007234-1) |
Enumeration Date | 2007-10-26 |
Last Update Date | 2018-01-29 |