| NPI | 1508922717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT11093-TPA) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA1874) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2024-06-20 |