| NPI | 1295460483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 35459) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD 2875) |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2024-08-21 |