NPI | 1710325725 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OK 2783) |
Additional Taxonomies | 152W00000X Optometrist (Licence: AR 2696) |
Enumeration Date | 2013-06-12 |
Last Update Date | 2016-09-20 |