| NPI | 1558939835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 36165) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18004267A) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2026-04-17 |