NPI | 1073066106 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: NV 963) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 33471) |
Enumeration Date | 2016-07-25 |
Last Update Date | 2022-04-19 |