NPI | 1235399049 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CO 2715) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007159-1) |
Enumeration Date | 2008-06-15 |
Last Update Date | 2012-09-20 |