NPI | 1366404824 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: SC OPT1304) |
Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT002118) |
Enumeration Date | 2006-04-03 |
Last Update Date | 2022-05-26 |