| NPI | 1538615018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 33518) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 008509) |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: CA 33518) | |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2023-08-16 |