NPI | 1275374837 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: NV 1203) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 35747) |
Enumeration Date | 2024-06-05 |
Last Update Date | 2024-07-30 |