NPI | 1285157966 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY 8876TUV) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MA 5237) |
152W00000X Optometrist (Licence: MA 5237) | |
Enumeration Date | 2017-07-25 |
Last Update Date | 2023-02-13 |