| NPI | 1245438555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 11998) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL 3802) |
| Enumeration Date | 2007-07-07 |
| Last Update Date | 2023-05-22 |