NPI | 1720315369 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC6076) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00600300) |
Enumeration Date | 2009-11-03 |
Last Update Date | 2024-06-18 |