NPI | 1043523129 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: CO 0003281) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TX 7346TG) |
Enumeration Date | 2010-07-19 |
Last Update Date | 2017-03-27 |