NPI | 1316137052 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MS 831) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13338) |
Enumeration Date | 2007-07-30 |
Last Update Date | 2011-01-12 |