| NPI | 1144741125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR ATI4615) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 33740) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2022-09-21 |