| NPI | 1144924804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT35640-TLG) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: OR ATI4672) | |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2024-09-12 |