| NPI | 1285373399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 35802) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618003154) |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2025-01-22 |