| NPI | 1477701985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT34170-TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT002494) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2022-01-18 |