NPI | 1649400565 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MD DA2491) |
Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002701) |
Enumeration Date | 2009-07-27 |
Last Update Date | 2015-10-08 |