| NPI | 1083933519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: HI OD-847) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13857 TLG) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2021-06-02 |