| NPI | 1952971848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 35114) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 10357) |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2023-10-04 |