NPI | 1972252898 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: AK 210038) |
Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618003128) |
Enumeration Date | 2022-03-18 |
Last Update Date | 2023-08-11 |