NPI | 1356308852 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC 2067) |
Additional Taxonomies | 152W00000X Optometrist (Licence: DC OP1000070) |
Enumeration Date | 2006-04-27 |
Last Update Date | 2007-07-08 |