| NPI | 1508504648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 35399) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC6123) |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2024-05-08 |