NPI | 1205024395 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA2327) |
Additional Taxonomies | 152WX0102X Optometrist, Occupational Vision (Licence: TX 7131T) |
Enumeration Date | 2007-10-15 |
Last Update Date | 2022-09-14 |