NPI | 1700964145 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL 2244) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TX 3497) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2007-07-08 |