NPI | 1134213705 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CO 2513) |
Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 1024) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2022-09-30 |