| NPI | 1740639871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 33707TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046.011015) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2022-04-14 |