| NPI | 1285864462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 33872) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA2150) |
| 152W00000X Optometrist (Licence: VA 0618001879) | |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2018-05-25 |