| NPI | 1497275689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34106) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA2587) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2021-11-29 |