| NPI | 1053473785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: UT 13396954-9934) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 11058TPG) |
| Enumeration Date | 2006-12-16 |
| Last Update Date | 2024-12-29 |