NPI | 1053751701 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 2015) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003802) |
152WC0802X Optometrist, Corneal and Contact Management (Licence: AZ 2015) | |
Enumeration Date | 2013-06-26 |
Last Update Date | 2015-04-23 |