NPI | 1336580943 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AK OPTT340) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 14625) |
Enumeration Date | 2013-07-11 |
Last Update Date | 2018-12-06 |