| NPI | 1033515325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 33663) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL 5397) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2022-11-02 |