NPI | 1144685694 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC5119) |
Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003110) |
Enumeration Date | 2015-12-29 |
Last Update Date | 2021-05-04 |