NPI | 1902153067 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MO 2012021597) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MO 2012021597) |
Enumeration Date | 2012-08-08 |
Last Update Date | 2023-10-19 |