| NPI | 1184849002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT 13239 TPA) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV006896-1) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2008-07-15 |