NPI | 1740348911 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: IA 1948) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NE 1010) |
Enumeration Date | 2006-12-04 |
Last Update Date | 2013-08-27 |