NPI | 1982636783 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001477) |
Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC3889) |
152W00000X Optometrist (Licence: MD TA1945) | |
Enumeration Date | 2006-07-06 |
Last Update Date | 2011-01-26 |