| NPI | 1942737473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34060) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: OR 43O8AT) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 34060) | |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2023-01-09 |