| NPI | 1467833905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT33572 TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 2097) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2023-01-20 |