| NPI | 1750802195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34171TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 9274T) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: TX 9274T) | |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2020-09-08 |