NPI | 1437775004 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA2740) |
Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618003004) |
Enumeration Date | 2020-06-19 |
Last Update Date | 2022-04-21 |