| NPI | 1760061345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34895) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA 34895) |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2022-11-30 |