| NPI | 1699348607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34837) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 009460) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2024-04-11 |