NPI | 1699337196 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2637) |
Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003552) |
Enumeration Date | 2019-07-03 |
Last Update Date | 2021-12-22 |