NPI | 1316106339 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 13613T) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MA 4663) |
Enumeration Date | 2008-06-05 |
Last Update Date | 2024-10-25 |