| NPI | 1033442306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 33830) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 33830T) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2021-08-02 |