| NPI | 1073814174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14049) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 007640) |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2019-07-05 |