NPI | 1235224676 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MO 2002015335) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2002015335) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2022-07-21 |