NPI | 1073597670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: TN 1993) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MN 2955) |
Enumeration Date | 2005-12-06 |
Last Update Date | 2022-08-08 |