| NPI | 1386049906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 15160TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 8453T) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2022-03-07 |