NPI | 1972889343 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618002092) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA2284) |
152W00000X Optometrist (Licence: WV 1094OD) | |
Enumeration Date | 2011-10-28 |
Last Update Date | 2023-03-01 |