NPI | 1407220585 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18004228) |
Additional Taxonomies | 152W00000X Optometrist (Licence: KY 2011DT) |
Enumeration Date | 2015-11-30 |
Last Update Date | 2020-09-16 |