NPI | 1740840008 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 9842TG) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2019021297) |
Enumeration Date | 2019-06-19 |
Last Update Date | 2022-05-26 |