NPI | 1699116848 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2327) |
Additional Taxonomies | 152W00000X Optometrist (Licence: SC 1774) |
Enumeration Date | 2013-07-16 |
Last Update Date | 2020-12-22 |