NPI | 1437216439 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: MN 2110) |
Additional Taxonomies | 152W00000X Optometrist (Licence: WI 2154) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2014-12-15 |