NPI | 1891766515 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 867) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: AZ 867) |
Enumeration Date | 2006-01-30 |
Last Update Date | 2010-08-05 |