| NPI | 1447734439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34409TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ OPT-002275) |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2023-12-22 |