| NPI | 1831531557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14890) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WI 3316-035) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2019-02-25 |