NPI | 1912081514 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: DC OP562) |
Additional Taxonomies | 152W00000X Optometrist (Licence: VA OP562) |
152W00000X Optometrist (Licence: MD OP562) | |
Enumeration Date | 2006-10-24 |
Last Update Date | 2007-07-08 |