| NPI | 1457844201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT34259-TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC5531) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2020-08-08 |