NPI | 1861569113 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: NC 1353) |
Additional Taxonomies | 152W00000X Optometrist (Licence: AL S-659 TA-352) |
Enumeration Date | 2006-11-30 |
Last Update Date | 2009-08-26 |