NPI | 1083638944 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA T11392) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY 006279) |
152WC0802X Optometrist, Corneal and Contact Management (Licence: NY 006279) | |
152W00000X Optometrist (Licence: CA opt11392) | |
Enumeration Date | 2006-07-26 |
Last Update Date | 2007-07-08 |