NPI | 1326124991 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: TN 3081) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TN 3081) |
152WP0200X Optometrist, Pediatrics (Licence: FL OPC3082) | |
Enumeration Date | 2006-10-27 |
Last Update Date | 2019-02-08 |