NPI | 1891025136 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL 2770) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TX 04585T) |
152W00000X Optometrist (Licence: VA 0618001209) | |
152W00000X Optometrist (Licence: PR 339) | |
Enumeration Date | 2010-01-08 |
Last Update Date | 2010-07-07 |