| NPI | 1043054836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 36104) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NV 1200) |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2025-09-04 |