| NPI | 1922837566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 36106) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT003594) |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2025-08-19 |