NPI | 1295967206 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 13909) |
Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 1708) |
Enumeration Date | 2009-08-10 |
Last Update Date | 2022-02-02 |