| NPI | 1811541097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34641) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18004178A) |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2025-04-03 |