NPI | 1184038390 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC 005097) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY 008187) |
Enumeration Date | 2014-06-16 |
Last Update Date | 2019-02-20 |