NPI | 1770913915 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA2511) |
Additional Taxonomies | 152W00000X Optometrist (Licence: FL TPOP211) |
152W00000X Optometrist (Licence: VA 0618002290) | |
152W00000X Optometrist (Licence: DC OPT1000314) | |
Enumeration Date | 2013-11-26 |
Last Update Date | 2024-06-26 |