NPI | 1336251511 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC2579) |
Additional Taxonomies | 152W00000X Optometrist (Licence: HI 455) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2018-01-09 |