| NPI | 1336663681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 33947) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 2191) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2020-11-11 |