| NPI | 1457561250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ OPT-002522) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 11449T) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2024-02-01 |