NPI | 1881843589 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA2286) |
Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618001768) |
Enumeration Date | 2008-09-17 |
Last Update Date | 2023-12-28 |