| NPI | 1649823436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34732TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR 4472AT) |
| Enumeration Date | 2019-07-20 |
| Last Update Date | 2023-10-27 |