NPI | 1639403058 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: DE I3-0001346) |
Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT002557) |
Enumeration Date | 2009-10-01 |
Last Update Date | 2014-01-31 |