NPI | 1992228209 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NM 742) |
Additional Taxonomies | 152W00000X Optometrist (Licence: KY 2088DT) |
Enumeration Date | 2017-07-18 |
Last Update Date | 2023-05-26 |