| NPI | 1871999896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14947 TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CT 2949) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2023-05-31 |