| NPI | 1710310586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 15000) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 008058) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2022-01-03 |