NPI | 1265107213 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: FL OPC6007) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TN 3707) |
152WP0200X Optometrist, Pediatrics (Licence: TN 3707) | |
152W00000X Optometrist (Licence: FL 6007) | |
152W00000X Optometrist (Licence: FL OPC6007) | |
Enumeration Date | 2021-08-11 |
Last Update Date | 2024-01-04 |