| NPI | 1780294231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 35061TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WY 449T) |
| 152W00000X Optometrist (Licence: CO opt.0003614) | |
| Enumeration Date | 2020-08-08 |
| Last Update Date | 2023-01-12 |