NPI | 1689414914 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 35679) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 35679) |
Enumeration Date | 2024-05-24 |
Last Update Date | 2024-06-17 |