| NPI | 1629382221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14296TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 1765) |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2022-01-18 |