NPI | 1881905172 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AK 140405) |
Additional Taxonomies | 152W00000X Optometrist (Licence: VT 030.0100769) |
152W00000X Optometrist (Licence: AK 305) | |
Enumeration Date | 2010-07-01 |
Last Update Date | 2023-11-26 |