| NPI | 1518415249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 33582) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046011041) |
| Enumeration Date | 2016-09-11 |
| Last Update Date | 2016-11-08 |