NPI | 1053373803 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002204) |
Additional Taxonomies | 152W00000X Optometrist (Licence: PA OE-6379-P) |
Enumeration Date | 2006-04-06 |
Last Update Date | 2007-07-08 |