| NPI | 1255708251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 2075) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA OPT33380-TLG) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2025-10-03 |