NPI | 1477865350 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MN 3377) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007573) |
Enumeration Date | 2010-07-08 |
Last Update Date | 2014-08-26 |