| NPI | 1295162642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14754) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR 4588) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2025-01-17 |