NPI | 1225729296 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: LA 2016-962AT) |
Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC6263) |
Enumeration Date | 2023-05-18 |
Last Update Date | 2024-10-29 |