| NPI | 1093491193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT35644) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH OPT.007182) |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2025-10-22 |