NPI | 1902646144 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 35693) |
Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: CA 35693) |
Enumeration Date | 2024-05-27 |
Last Update Date | 2024-05-27 |