NPI | 1619956794 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MA MA3308) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MA 3308) |
Enumeration Date | 2006-01-17 |
Last Update Date | 2013-06-20 |