| NPI | 1578875043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 15155) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 007574) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2015-10-21 |