| NPI | 1346737467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 33907TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NV 946) |
| Enumeration Date | 2018-04-14 |
| Last Update Date | 2021-04-09 |