NPI | 1942378955 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT002052) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TN 2248) |
Enumeration Date | 2006-11-30 |
Last Update Date | 2007-07-08 |