NPI | 1447734439 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34409TLG) |
Additional Taxonomies | 152W00000X Optometrist (Licence: AZ OPT-002275) |
Enumeration Date | 2018-09-17 |
Last Update Date | 2023-12-22 |