NPI | 1518377787 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 15252TLG) |
Additional Taxonomies | 152W00000X Optometrist (Licence: AL T-212-TA-973) |
Enumeration Date | 2014-04-28 |
Last Update Date | 2023-08-15 |