NPI | 1457887085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 33826TLG) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TX 9143T) |
Enumeration Date | 2017-05-02 |
Last Update Date | 2019-07-23 |