NPI | 1831218387 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MA ma3427) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MA ma2516) |
156FX1800X Technician/Technologist, Optician (Licence: MA ma4856) | |
Enumeration Date | 2007-03-28 |
Last Update Date | 2007-07-09 |