| NPI | 1184030413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 33897) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008182) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2018-05-31 |