NPI | 1326491770 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34126TLG) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MI 4901005004) |
Enumeration Date | 2016-07-21 |
Last Update Date | 2019-06-11 |