NPI | 1245263607 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: GA 1306) |
Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: GA 1306) |
Enumeration Date | 2006-07-09 |
Last Update Date | 2022-03-03 |