NPI | 1962012609 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC6021) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY 009219) |
Enumeration Date | 2020-08-07 |
Last Update Date | 2023-01-19 |