| NPI | 1629381512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: HI 724) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13998) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2023-04-27 |