NPI | 1023264314 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 35394) |
Additional Taxonomies | 152W00000X Optometrist (Licence: WA 3545) |
Enumeration Date | 2008-08-18 |
Last Update Date | 2023-08-03 |