| NPI | 1780657288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 9331) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 778) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2024-05-15 |