NPI | 1548740517 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC5576) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL OCP5576) |
Enumeration Date | 2018-08-18 |
Last Update Date | 2021-11-30 |