NPI | 1750543922 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: CA 13483) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13483) |
152W00000X Optometrist (Licence: NY 007350) | |
Enumeration Date | 2008-06-30 |
Last Update Date | 2009-06-15 |