| NPI | 1770648784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 13453) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WI 3034-035) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2022-01-17 |