| NPI | 1851600175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14276TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002424) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2024-06-13 |