NPI | 1750475000 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MO 200416549) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TX 06577T) |
152W00000X Optometrist (Licence: FL OPC4194) | |
Enumeration Date | 2006-10-03 |
Last Update Date | 2015-09-03 |