| NPI | 1487378329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 35294TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 36294TLG) |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2023-09-06 |