NPI | 1295263903 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC5503) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY 008615) |
Enumeration Date | 2017-05-24 |
Last Update Date | 2018-08-20 |