NPI | 1871684274 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MO T03067) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MO T03067) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2020-06-10 |