| NPI | 1639553217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 15315T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 15315 TLG) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2023-01-09 |