| NPI | 1538653878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 35141T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 9433T) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2022-10-17 |