| NPI | 1255991840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT34433TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008978) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2020-03-19 |