NPI | 1760816177 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618002275) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TX 8597TG) |
152W00000X Optometrist (Licence: PA OEG003494) | |
Enumeration Date | 2013-08-22 |
Last Update Date | 2021-12-14 |