NPI | 1780026781 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2333) |
Additional Taxonomies | 152W00000X Optometrist (Licence: SC 1763) |
Enumeration Date | 2013-07-19 |
Last Update Date | 2013-09-16 |