| NPI | 1982277471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 35129) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NH 1041) |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2022-09-20 |