| NPI | 1245733476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT34990TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046011168) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2021-12-28 |