NPI | 1962523795 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MA 3479) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MA 3479) |
152WP0200X Optometrist, Pediatrics (Licence: MA 3479) | |
152WS0006X Optometrist, Sports Vision (Licence: MA 3479) | |
152WX0102X Optometrist, Occupational Vision (Licence: MA 3479) | |
156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: MA 3479) | |
Enumeration Date | 2007-04-02 |
Last Update Date | 2007-07-08 |