| NPI | 1831505775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14928) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2023-10-04 |