NPI | 1578630539 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC2685) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TX 04797T) |
Enumeration Date | 2006-11-28 |
Last Update Date | 2018-10-25 |