| NPI | 1609227222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 33425) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 08446) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2020-07-15 |