| NPI | 1629590039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 35095) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 9271T) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2024-10-26 |