NPI | 1891809729 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT 13882 TPL) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046009853) |
Enumeration Date | 2006-08-18 |
Last Update Date | 2010-11-05 |