NPI | 1588648034 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CO 3178) |
Additional Taxonomies | 152W00000X Optometrist (Licence: FL 3362) |
Enumeration Date | 2005-11-29 |
Last Update Date | 2016-04-13 |