| NPI | 1306464680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34824) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 009203) |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2021-06-29 |