NPI | 1285626259 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 12840T) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NV 612) |
Enumeration Date | 2005-08-16 |
Last Update Date | 2021-08-02 |