| NPI | 1437689460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34559) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 008578) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2021-04-30 |