NPI | 1154754810 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2351) |
Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC4797) |
Enumeration Date | 2013-08-16 |
Last Update Date | 2018-04-28 |