NPI | 1316929854 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: HI 392T) |
Additional Taxonomies | 152W00000X Optometrist (Licence: OR 2504T) |
152W00000X Optometrist (Licence: CA 11830TPA) | |
Enumeration Date | 2005-11-18 |
Last Update Date | 2007-07-08 |