NPI | 1851523963 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14810) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00620600) |
Enumeration Date | 2009-08-23 |
Last Update Date | 2020-01-14 |