| NPI | 1629521570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34557) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 1952) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2023-12-21 |