NPI | 1457443806 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CO 2794) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 7915T) |
Enumeration Date | 2006-09-29 |
Last Update Date | 2015-09-17 |