NPI | 1770963449 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: DE I3-0001386) |
Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003036) |
152WC0802X Optometrist, Corneal and Contact Management (Licence: PA OEG003036) | |
Enumeration Date | 2015-06-08 |
Last Update Date | 2023-08-02 |