NPI | 1558015024 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AZ OPT-002559) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: AZ OPT-002559) |
Enumeration Date | 2022-02-03 |
Last Update Date | 2022-02-03 |