| NPI | 1215471891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 33821) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL 5287) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2024-05-20 |