NPI | 1205417649 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA CA-34940) |
Additional Taxonomies | 152W00000X Optometrist (Licence: AZ OPT-002490) |
Enumeration Date | 2021-04-17 |
Last Update Date | 2024-09-18 |