| NPI | 1710290143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA opt 13891) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY tuv007465) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2010-07-14 |