NPI | 1538413232 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OFC59) |
Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002707) |
Enumeration Date | 2012-11-01 |
Last Update Date | 2012-11-01 |