| NPI | 1457933863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 2497) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 34995) |
| Enumeration Date | 2021-04-25 |
| Last Update Date | 2022-03-17 |