NPI | 1619006178 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV 006907) |
Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC 3996) |
Enumeration Date | 2007-03-02 |
Last Update Date | 2017-01-12 |