| NPI | 1619682382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT35412-TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: HI 997) |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2023-07-18 |