NPI | 1265126080 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC6353) |
Additional Taxonomies | 152W00000X Optometrist (Licence: KY 2317DT) |
Enumeration Date | 2023-06-05 |
Last Update Date | 2023-09-27 |