NPI | 1437150448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7503TG) |
Additional Taxonomies | 152W00000X Optometrist (Licence: VA 06018001070) |
Enumeration Date | 2005-08-02 |
Last Update Date | 2023-01-10 |