NPI | 1629421995 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 33503) |
Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 2146) |
Enumeration Date | 2016-07-21 |
Last Update Date | 2021-02-25 |