| NPI | 1558741389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34136TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008261) |
| Enumeration Date | 2015-06-07 |
| Last Update Date | 2021-04-27 |