NPI | 1649505611 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT 13847 TLG) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA OPT 13847 TLG) |
Enumeration Date | 2009-10-08 |
Last Update Date | 2009-10-08 |