NPI | 1457466674 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 12677) |
Additional Taxonomies | 152W00000X Optometrist (Licence: WA 00003899) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2015-02-01 |