NPI | 1104849769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: AR 2431) |
Additional Taxonomies | 152W00000X Optometrist (Licence: OK 2124) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2008-07-24 |