| NPI | 1598076994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14253TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MN 3202) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2022-08-02 |