NPI | 1366179798 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MI 49010056665) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18004356A) |
Enumeration Date | 2022-08-05 |
Last Update Date | 2025-06-16 |