NPI | 1306971429 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA OP7450) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 7450t) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2020-02-05 |