NPI | 1124083886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: GA 001344) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CO 1806) |
Enumeration Date | 2006-04-18 |
Last Update Date | 2007-07-08 |