| NPI | 1356653836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14133) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046.010344) |
| 152W00000X Optometrist (Licence: TX 7833T) | |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2021-03-11 |