NPI | 1548782253 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 33789) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY 008659) |
152W00000X Optometrist (Licence: WA OD60744696) | |
Enumeration Date | 2017-07-13 |
Last Update Date | 2022-04-19 |