| NPI | 1568070365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 35423) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 009168) |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2023-10-31 |