NPI | 1669727293 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NV 730) |
Additional Taxonomies | 152W00000X Optometrist (Licence: WA 60250939) |
152W00000X Optometrist (Licence: CA 14394) | |
Enumeration Date | 2012-07-19 |
Last Update Date | 2013-10-16 |