NPI | 1063190247 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MN 3913) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TN 3825) |
Enumeration Date | 2023-07-07 |
Last Update Date | 2024-08-14 |