NPI | 1851885479 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: HI OD-960) |
Additional Taxonomies | 152W00000X Optometrist (Licence: OR ATI-4390) |
152W00000X Optometrist (Licence: WA OD.60972375) | |
152W00000X Optometrist (Licence: CA 34086TLG) | |
Enumeration Date | 2018-06-18 |
Last Update Date | 2021-08-26 |