NPI | 1396095097 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4763) |
Additional Taxonomies | 152W00000X Optometrist (Licence: WI 3264-35) |
Enumeration Date | 2012-09-11 |
Last Update Date | 2020-08-12 |