NPI | 1306330337 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG003604) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NH 0971) |
Enumeration Date | 2018-06-22 |
Last Update Date | 2019-08-14 |