NPI | 1548572530 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MO 2010022297) |
Additional Taxonomies | 152W00000X Optometrist (Licence: AR 2669) |
Enumeration Date | 2010-07-08 |
Last Update Date | 2022-07-21 |