NPI | 1568766947 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14089) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 14089) |
152WX0102X Optometrist, Occupational Vision (Licence: CA 14089) | |
Enumeration Date | 2010-12-29 |
Last Update Date | 2013-11-25 |