NPI | 1992828750 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MD TA1928) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: VA 0618001526) |
152WC0802X Optometrist, Corneal and Contact Management (Licence: NY TUV006668) | |
Enumeration Date | 2007-04-09 |
Last Update Date | 2012-09-14 |