NPI | 1356995047 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: CA 34304TLG) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 34304TLG) |
Enumeration Date | 2019-07-31 |
Last Update Date | 2019-07-31 |