NPI | 1316020175 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NV 842) |
Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC4749) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2020-02-06 |