NPI | 1710408992 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC5483) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY T008563) |
Enumeration Date | 2017-06-28 |
Last Update Date | 2019-07-11 |