NPI | 1174870976 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: CT 002860) |
Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC4764) |
Enumeration Date | 2012-08-10 |
Last Update Date | 2016-06-08 |