NPI | 1922167444 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: NM OP2403) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CO 1562) |
Enumeration Date | 2006-12-08 |
Last Update Date | 2018-02-20 |