| NPI | 1619526639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34342TLG) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 34342TLG) |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2020-10-19 |