NPI | 1841545381 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901005032) |
Additional Taxonomies | 152W00000X Optometrist (Licence: SC 1751) |
Enumeration Date | 2012-07-20 |
Last Update Date | 2017-05-10 |