| NPI | 1891178208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 33384) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC5074) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2021-12-01 |