| NPI | 1053844837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 35089) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008868-1) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2023-07-31 |