NPI | 1568449353 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: CO 2638) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TX 6449TG) |
Enumeration Date | 2005-12-22 |
Last Update Date | 2022-08-04 |