| NPI | 1407411184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34650) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR 4464AT) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2020-09-17 |