| NPI | 1093291106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT34162TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO OPT.0003398) |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2021-12-30 |