NPI | 1851731145 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TN 3135) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MS 883) |
152W00000X Optometrist (Licence: MO 2013022117) | |
Enumeration Date | 2013-07-01 |
Last Update Date | 2018-09-13 |