| NPI | 1942330832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 12753T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: HI 958) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2025-05-21 |