| NPI | 1669584900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 12420T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 6270) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-11-22 |