| NPI | 1396821955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34495) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC3059) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-02-13 |