NPI | 1396306643 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: DE I3-0011469) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MD 2677) |
Enumeration Date | 2019-06-27 |
Last Update Date | 2024-07-02 |