NPI | 1083783435 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: CA 9350T) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 9350) |
Enumeration Date | 2006-11-07 |
Last Update Date | 2019-01-18 |