NPI | 1073167151 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL FLOPC5718) |
Additional Taxonomies | 152W00000X Optometrist (Licence: FL 5718) |
Enumeration Date | 2019-07-28 |
Last Update Date | 2023-06-28 |