| NPI | 1932760964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 35377) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618002755) |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2024-06-18 |