NPI | 1437389111 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: OR 3312ATI) |
Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 1745) |
Enumeration Date | 2009-07-16 |
Last Update Date | 2022-07-21 |