| NPI | 1427639426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34888) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618003107) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2024-07-01 |