NPI | 1235524851 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NV 910) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 15440 TLG) |
Enumeration Date | 2015-03-31 |
Last Update Date | 2020-11-13 |