| NPI | 1255696688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA opt33357tlg) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00639300) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2024-01-30 |