| NPI | 1225362908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 13901) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00622400) |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2024-01-18 |