NPI | 1255628392 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: LA 1626-659T) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TX 7721T) |
152W00000X Optometrist (Licence: LA 1626-659AT) | |
Enumeration Date | 2011-07-08 |
Last Update Date | 2014-12-29 |