| NPI | 1023671419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34800TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008995) |
| Enumeration Date | 2019-04-21 |
| Last Update Date | 2021-08-24 |