| NPI | 1679191589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34573) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NC 2633) |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2022-05-02 |