| NPI | 1548314750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 13658) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 007100) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2012-05-23 |