NPI | 1164947248 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA2623) |
Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618002906) |
Enumeration Date | 2017-08-09 |
Last Update Date | 2023-06-19 |