| NPI | 1891072906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 33794) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: ID ODP100335) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2023-03-07 |