NPI | 1457391831 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: CO 2958) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV006240) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2014-02-11 |