| NPI | 1962989863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34271) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 9524TG) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2020-09-28 |