NPI | 1609118587 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: CO OPT.0002960) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CO OPT.0002960) |
Enumeration Date | 2013-03-19 |
Last Update Date | 2017-10-25 |