NPI | 1467648741 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OFC31) |
Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG001980) |
Enumeration Date | 2007-09-19 |
Last Update Date | 2008-07-28 |