| NPI | 1245958347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OD35428-TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA OD61312562) |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2024-05-01 |