NPI | 1548449911 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 13431T) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MN 3138) |
Enumeration Date | 2007-11-01 |
Last Update Date | 2024-12-06 |