| NPI | 1548422207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14851TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 007291) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2018-03-17 |