NPI | 1508997354 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 9329T) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 9329T) |
152WP0200X Optometrist, Pediatrics (Licence: CA 9329T) | |
Enumeration Date | 2007-03-07 |
Last Update Date | 2011-10-06 |