NPI | 1508206236 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NV 791) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 14618) |
Enumeration Date | 2013-06-26 |
Last Update Date | 2014-09-04 |