NPI | 1649526807 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AR 2673) |
Additional Taxonomies | 152W00000X Optometrist (Licence: OK 2752) |
Enumeration Date | 2012-07-25 |
Last Update Date | 2020-07-28 |