NPI | 1679792451 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OP2562) |
Additional Taxonomies | 152W00000X Optometrist (Licence: AR 2508) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2024-04-12 |