NPI | 1588925622 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL 4690) |
Additional Taxonomies | 152W00000X Optometrist (Licence: FL 4690) |
Enumeration Date | 2012-06-05 |
Last Update Date | 2018-02-09 |