NPI | 1588847776 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618002080) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TX 6870) |
Enumeration Date | 2007-12-11 |
Last Update Date | 2012-12-06 |