NPI | 1235244930 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4184) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TN OD0000003066) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2013-09-24 |