NPI | 1366827800 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT002961) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA2484) |
Enumeration Date | 2015-07-27 |
Last Update Date | 2024-01-26 |