NPI | 1629635636 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NV 1019) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 0NewGrad) |
Enumeration Date | 2019-05-24 |
Last Update Date | 2020-10-21 |