NPI | 1982817151 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: MD ta988) |
Additional Taxonomies | 152W00000X Optometrist (Licence: DC op1000262) |
152W00000X Optometrist (Licence: VA 0601001497) | |
152WL0500X Optometrist, Low Vision Rehabilitation (Licence: DC op1000262) | |
152WL0500X Optometrist, Low Vision Rehabilitation (Licence: VA 0601001497) | |
152W00000X Optometrist (Licence: MD TA988) | |
Enumeration Date | 2007-05-07 |
Last Update Date | 2022-07-21 |