| NPI | 1215343017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 15335) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 6295) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2023-01-26 |