NPI | 1881371094 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MA 5697) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00720900) |
Enumeration Date | 2023-06-29 |
Last Update Date | 2024-07-24 |