| NPI | 1134696305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: HI OD-893) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 34025TLG) |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2019-07-19 |