NPI | 1407216500 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC5166) |
Additional Taxonomies | 152W00000X Optometrist (Licence: FL 5166) |
Enumeration Date | 2016-03-02 |
Last Update Date | 2022-06-14 |