NPI | 1336422104 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CT 02851) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV0077621) |
Enumeration Date | 2011-09-27 |
Last Update Date | 2012-10-23 |