| NPI | 1548419948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 7258) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 12514) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2017-03-17 |