NPI | 1659043388 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 35019) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 35019) |
Enumeration Date | 2021-09-30 |
Last Update Date | 2021-09-30 |