NPI | 1770746612 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7216TG) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007518) |
Enumeration Date | 2008-07-09 |
Last Update Date | 2019-07-10 |