| NPI | 1629421995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 33503) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 2146) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2021-02-25 |