NPI | 1669550034 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: GA 001760) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY 006074) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2012-09-24 |