NPI | 1447924329 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG003885) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY 009356) |
Enumeration Date | 2021-08-04 |
Last Update Date | 2022-07-13 |