| NPI | 1811549223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: HI OD-995-0) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 34251TLG) |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2023-09-06 |