| NPI | 1770066490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO OPT.0003546) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 34067TLG) |
| Enumeration Date | 2018-09-09 |
| Last Update Date | 2025-12-22 |