| NPI | 1467932277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34201) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ OPT-002291) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2020-07-31 |