| NPI | 1447873070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34808) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO OPT.0003585) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2021-05-13 |