NPI | 1356070254 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: OK 3237) |
Additional Taxonomies | 152W00000X Optometrist (Licence: KY 2269DT) |
Enumeration Date | 2022-06-07 |
Last Update Date | 2024-04-03 |