| NPI | 1629698642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34929) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR AT4515) |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2022-06-18 |