NPI | 1457607699 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA2310) |
Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: MD TA2310) |
Enumeration Date | 2012-07-25 |
Last Update Date | 2012-07-25 |