| NPI | 1255744462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14908) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 14908TLG) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2021-03-19 |