| NPI | 1356752372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14630TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 14630) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2021-08-18 |