| NPI | 1205205408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 33545) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 56008328) |
| 152W00000X Optometrist (Licence: NJ 27OA00662700) | |
| 152W00000X Optometrist (Licence: TX 9870T) | |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2022-03-14 |