| NPI | 1427617505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34398) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ opt-002384) |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2022-01-05 |