NPI | 1245733476 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT34990TLG) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046011168) |
Enumeration Date | 2018-03-14 |
Last Update Date | 2021-12-28 |