NPI | 1518489723 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2506) |
Additional Taxonomies | 152W00000X Optometrist (Licence: SC 2000) |
Enumeration Date | 2017-07-10 |
Last Update Date | 2018-10-17 |