| NPI | 1700042249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 13587TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 1956) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2022-04-13 |