| NPI | 1194368829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34431TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 34421TLG) |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2022-01-19 |