| NPI | 1154514495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 15073) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00587800) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2015-02-14 |