NPI | 1487063863 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NE 1494) |
Additional Taxonomies | 152W00000X Optometrist (Licence: FL opc4976) |
Enumeration Date | 2014-08-11 |
Last Update Date | 2021-11-03 |