| NPI | 1477127249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34815) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 34815TLG) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 34815) | |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2023-11-28 |