NPI | 1124183843 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 13013TPL) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13013T) |
Enumeration Date | 2006-12-22 |
Last Update Date | 2012-10-26 |