NPI | 1356312045 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AL S847TA353) |
Additional Taxonomies | 152W00000X Optometrist (Licence: AL S-847-TA-353) |
Enumeration Date | 2006-01-30 |
Last Update Date | 2023-11-22 |