| NPI | 1285085142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34191TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 008432) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2022-05-27 |