NPI | 1609271790 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA2494) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MA 5048) |
Enumeration Date | 2014-10-31 |
Last Update Date | 2023-09-11 |