| NPI | 1194973065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT33453TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007271-1) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2018-10-19 |