NPI | 1588046221 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: RI ODTG00615) |
Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003050) |
Enumeration Date | 2015-06-18 |
Last Update Date | 2015-06-19 |