| NPI | 1336523299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 33874TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR 3621AT) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2020-04-17 |