| NPI | 1811432784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: HI OD853) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 33966TLG) |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2022-06-03 |