| NPI | 1740621010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT33669TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC4894) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2021-12-06 |