| NPI | 1992326995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34804) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WI 718756) |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2025-07-31 |