| NPI | 1457735391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 002072) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 33360) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2023-02-16 |