NPI | 1538762992 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2651) |
Additional Taxonomies | 152W00000X Optometrist (Licence: SC 2234) |
Enumeration Date | 2020-11-18 |
Last Update Date | 2021-03-31 |