NPI | 1811459530 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: CO OPT.0003487) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CO OPT.0003487) |
Enumeration Date | 2019-04-02 |
Last Update Date | 2024-05-03 |