NPI | 1396052163 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: DE I3-0001348) |
Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002416) |
Enumeration Date | 2010-09-01 |
Last Update Date | 2011-03-18 |