NPI | 1154492718 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CT 2672) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CT CT2672) |
152WC0802X Optometrist, Corneal and Contact Management (Licence: CT 2672) | |
152WL0500X Optometrist, Low Vision Rehabilitation (Licence: CT 2672) | |
152WP0200X Optometrist, Pediatrics (Licence: CT 2672) | |
152WS0006X Optometrist, Sports Vision (Licence: CT 2672) | |
152WV0400X Optometrist, Vision Therapy (Licence: CT 2672) | |
Enumeration Date | 2006-11-13 |
Last Update Date | 2018-03-17 |