| NPI | 1679908032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14763) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 14763TLG) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2024-01-23 |