| NPI | 1932581790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 33541-TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR 3616AT) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2017-01-23 |