NPI | 1871686055 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 5699) |
Additional Taxonomies | 152W00000X Optometrist (Licence: KS KS1547) |
332H00000X Eyewear Supplier | |
Enumeration Date | 2006-10-02 |
Last Update Date | 2023-11-30 |