| NPI | 1780874453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT33920TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003453A) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2019-07-10 |