NPI | 1568772051 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NV 1206) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CT 002820) |
Enumeration Date | 2010-10-18 |
Last Update Date | 2024-08-01 |