| NPI | 1396171419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 2369) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 33577) |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2023-01-03 |