NPI | 1275580896 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NV 942) |
Additional Taxonomies | 152W00000X Optometrist (Licence: WY 256T) |
152W00000X Optometrist (Licence: CO 2069) | |
152W00000X Optometrist (Licence: OR 3585AT) | |
Enumeration Date | 2006-05-28 |
Last Update Date | 2023-12-28 |