NPI | 1386032431 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OR 3635) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 15135) |
Enumeration Date | 2014-12-23 |
Last Update Date | 2022-02-14 |