| NPI | 1518537950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT34817) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: LA 1942-878AT) |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2022-11-21 |