NPI | 1417251331 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618002011) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00628000) |
Enumeration Date | 2011-01-06 |
Last Update Date | 2011-01-06 |