NPI | 1477276905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: AZ OPT-002597) |
Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 2597) |
Enumeration Date | 2022-09-20 |
Last Update Date | 2023-08-01 |