| NPI | 1093095952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 35130) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA 4887) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2022-09-06 |