NPI | 1699923839 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 13588) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13588) |
Enumeration Date | 2008-08-29 |
Last Update Date | 2008-08-29 |