NPI | 1245677418 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: SC 1750) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003778A) |
Enumeration Date | 2013-05-29 |
Last Update Date | 2017-03-22 |