NPI | 1649463621 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1769) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2007035557) |
Enumeration Date | 2007-08-22 |
Last Update Date | 2019-10-02 |