| NPI | 1619433745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34377TLG) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: CA 191583) |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2022-02-03 |