NPI | 1790747590 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TN 0000002323) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MA 3945) |
Enumeration Date | 2006-04-05 |
Last Update Date | 2007-07-08 |