| NPI | 1295322576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34744-TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 34744) |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2022-09-13 |