NPI | 1649411133 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001821) |
Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG001950) |
Enumeration Date | 2009-03-13 |
Last Update Date | 2009-03-13 |