| NPI | 1053575282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14539) |
| Additional Taxonomies | 171W00000X Contractor (Licence: CA 14539) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2023-10-17 |