NPI | 1457963910 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34899) |
Additional Taxonomies | 152W00000X Optometrist (Licence: WA OD61092875) |
Enumeration Date | 2020-08-17 |
Last Update Date | 2022-08-05 |