NPI | 1720046170 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MN 2837) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MN 2837) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2010-02-19 |