| NPI | 1992912935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 2336) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA OPT11505TPA) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2024-10-16 |