| NPI | 1396993325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 13701 TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR 3285AT) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2022-01-03 |