| NPI | 1912402637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 35300TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 9313TG) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2025-04-28 |