NPI | 1164599718 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT11757TPL) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA OPT11575TPL) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2023-04-20 |