NPI | 1588615132 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: AK 236) |
Additional Taxonomies | 152W00000X Optometrist (Licence: SD 660) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2013-07-31 |