| NPI | 1023406238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34226-TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: HI OD-807) |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2023-05-03 |