| NPI | 1518377787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 15252TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL T-212-TA-973) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2023-08-15 |