NPI | 1184295982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901005639) |
Additional Taxonomies | 152W00000X Optometrist (Licence: FL 6356) |
152W00000X Optometrist (Licence: TN 3710) | |
Enumeration Date | 2021-07-02 |
Last Update Date | 2024-07-22 |