NPI | 1861542359 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NV 572) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13045) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2008-02-14 |