| NPI | 1114658267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT35439) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA TLG35439) |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2025-04-17 |