| NPI | 1083794994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: HI 793) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA OPT 12698 TPA) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2021-05-07 |