NPI | 1710929526 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IA 002530) |
Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG 001307) |
Enumeration Date | 2006-06-13 |
Last Update Date | 2011-09-21 |