NPI | 1407382476 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV008732) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 33440TLG) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2020-01-17 |