NPI | 1144741562 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 9316TG) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY 008599) |
Enumeration Date | 2017-07-06 |
Last Update Date | 2022-12-20 |