NPI | 1437483906 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TN 3780) |
Additional Taxonomies | 152W00000X Optometrist (Licence: OK 2809) |
152W00000X Optometrist (Licence: OH 5857) | |
Enumeration Date | 2009-09-30 |
Last Update Date | 2023-01-05 |