| NPI | 1356980841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34477TLG) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: CA 34477TLG) |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2025-02-17 |