NPI | 1861807380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MO 2018043160) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008133-1) |
Enumeration Date | 2014-06-23 |
Last Update Date | 2019-11-01 |