NPI | 1821580796 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: DC OP1000398) |
Additional Taxonomies | 152W00000X Optometrist (Licence: VA 618002963) |
Enumeration Date | 2018-06-05 |
Last Update Date | 2021-12-22 |