NPI | 1669430211 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: DE 13-0001241) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA1463) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2011-09-22 |