NPI | 1215071311 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA1663) |
Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618001102) |
Enumeration Date | 2007-02-20 |
Last Update Date | 2021-06-02 |