NPI | 1649905142 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC6142) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY 009598) |
Enumeration Date | 2022-07-19 |
Last Update Date | 2023-10-09 |