NPI | 1003849712 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 8974T) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CO 1513) |
152W00000X Optometrist (Licence: OR 2001T) | |
152W00000X Optometrist (Licence: TN 2211) | |
152W00000X Optometrist (Licence: WA 2068) | |
Enumeration Date | 2006-07-08 |
Last Update Date | 2007-07-08 |