| NPI | 1588914071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: ID ODP-100270) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 14518) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2015-07-23 |