| NPI | 1235582149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2567) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA OPT33462-TLG) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2025-01-16 |