| NPI | 1750472254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 13237T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV006898) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-02-25 |