NPI | 1417946146 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: NM 2400) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NM 2400) |
Enumeration Date | 2005-10-15 |
Last Update Date | 2023-08-09 |