NPI | 1356759195 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: AZ OPT-002058) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: OK 2826) |
Enumeration Date | 2014-07-24 |
Last Update Date | 2020-04-09 |