NPI | 1770932519 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: KS 2114) |
Additional Taxonomies | 152W00000X Optometrist (Licence: WI 3413-35) |
Enumeration Date | 2016-06-11 |
Last Update Date | 2022-04-08 |