| NPI | 1598780561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 13198) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 007032) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2009-08-27 |