| NPI | 1962886283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 15449) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003091) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2022-06-09 |