| NPI | 1639829567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT35685-TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 009556) |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2025-04-12 |