NPI | 1467648873 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AK 302) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TX 7090) |
Enumeration Date | 2007-09-19 |
Last Update Date | 2014-10-02 |