NPI | 1336335959 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NM 661) |
Additional Taxonomies | 152W00000X Optometrist (Licence: KY 1668DT) |
Enumeration Date | 2007-09-18 |
Last Update Date | 2024-08-26 |