NPI | 1427059146 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: LA 1412-554T) |
Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618001392) |
152W00000X Optometrist (Licence: NC 1960) | |
Enumeration Date | 2005-08-03 |
Last Update Date | 2016-12-02 |