NPI | 1891199337 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TN 3211) |
Additional Taxonomies | 152W00000X Optometrist (Licence: OH 6336) |
Enumeration Date | 2014-10-13 |
Last Update Date | 2018-05-10 |