NPI | 1720081029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 12599) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA OPT12599TPA) |
Enumeration Date | 2005-05-31 |
Last Update Date | 2019-01-17 |