NPI | 1316992571 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NC 1864) |
Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: NC 1864) |
Enumeration Date | 2006-05-24 |
Last Update Date | 2015-01-19 |