NPI | 1366882458 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4916) |
Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002813) |
Enumeration Date | 2013-07-03 |
Last Update Date | 2014-08-19 |