| NPI | 1457887085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 33826TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 9143T) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2019-07-23 |