NPI | 1669584900 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 12420T) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY 6270) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2021-11-22 |