| NPI | 1073777637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT 13800 TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002116) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2021-12-30 |