NPI | 1104588912 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 10421T) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TX 1042T) |
Enumeration Date | 2021-10-08 |
Last Update Date | 2021-11-10 |