NPI | 1235640368 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CO 0003383) |
Additional Taxonomies | 152W00000X Optometrist (Licence: OH 006605) |
Enumeration Date | 2017-10-16 |
Last Update Date | 2018-10-12 |