| NPI | 1396012969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 33339) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD Ta2295) |
| Enumeration Date | 2011-11-25 |
| Last Update Date | 2023-08-22 |