NPI | 1710115902 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: DC OP1000335) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046.010242) |
152W00000X Optometrist (Licence: NE 1344) | |
152W00000X Optometrist (Licence: VA 0618002473) | |
Enumeration Date | 2009-06-25 |
Last Update Date | 2016-03-20 |