NPI | 1093931271 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: NH 817) |
Additional Taxonomies | 152W00000X Optometrist (Licence: WY 304T) |
152W00000X Optometrist (Licence: MA 4229Tp) | |
152W00000X Optometrist (Licence: TX 5106T) | |
152W00000X Optometrist (Licence: SD 561) | |
Enumeration Date | 2007-04-17 |
Last Update Date | 2021-09-21 |