NPI | 1740258987 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: DE I3-0011430) |
Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618000370) |
152W00000X Optometrist (Licence: DC OP748) | |
Enumeration Date | 2006-03-14 |
Last Update Date | 2024-08-01 |