NPI | 1609438902 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CO OPT.0003692) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2019024158) |
Enumeration Date | 2019-07-08 |
Last Update Date | 2023-10-06 |