| NPI | 1467944041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34112TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO OPT.0003406) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2020-01-08 |