NPI | 1841745502 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00668200) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00668201) |
152W00000X Optometrist (Licence: NJ 27OA00668202) | |
152W00000X Optometrist (Licence: PA OEG003229) | |
Enumeration Date | 2016-08-23 |
Last Update Date | 2016-10-12 |