| NPI | 1598497570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT35265) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV9601) |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2023-10-09 |