| NPI | 1578930343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 33961TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 8710T) |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2023-06-29 |