| NPI | 1568925055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34422TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA Unknown-student) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2021-08-30 |