| NPI | 1548782253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 33789) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 008659) |
| 152W00000X Optometrist (Licence: WA OD60744696) | |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2022-04-19 |