NPI | 1710539283 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AZ OPT-002739) |
Additional Taxonomies | 152W00000X Optometrist (Licence: HI OD-920) |
Enumeration Date | 2019-07-15 |
Last Update Date | 2023-09-21 |