| NPI | 1124778618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ OPT-002650) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 35524) |
| Enumeration Date | 2022-03-27 |
| Last Update Date | 2024-04-23 |