NPI | 1275751216 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: LA 1327-461T) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: TX 6018T) |
Enumeration Date | 2007-04-23 |
Last Update Date | 2019-04-12 |