| NPI | 1407103401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 33613T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA OPT33613TLG) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2021-07-14 |