NPI | 1114125085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT13335) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY 007259) |
Enumeration Date | 2007-07-03 |
Last Update Date | 2015-10-22 |