| NPI | 1215059225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT12942-TPL) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 007022) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2019-06-04 |