| NPI | 1952965972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT34490-TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CT 3123) |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2022-10-26 |