NPI | 1366778839 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14123) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010301) |
Enumeration Date | 2009-10-19 |
Last Update Date | 2014-10-20 |