NPI | 1467961342 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: LA 1885-820AT) |
Additional Taxonomies | 152W00000X Optometrist (Licence: AL S-D95-TA-A94) |
Enumeration Date | 2017-09-23 |
Last Update Date | 2019-11-19 |