NPI | 1215059225 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT12942-TPL) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY 007022) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2019-06-04 |